Case Mix Index And Wage Index Table By CCN Final Rule

$79 / year

Beginning with FY 2010, this dataset lists each Lugar hospital (deemed urban under section 1886(d)(8)(B) of the Act) that is located in a county that qualifies for an outmigration adjustment; the 3-year period for which the hospital is eligible for the outmigration adjustment; and whether or not the hospital accepted the outmigration adjustment in lieu of its urban status for each year of its 3-year eligibility. Note that in the FY 2012 IPPS final rule, Centers for Medicare and Medicaid Services (CMS) finalized a policy that allows a Lugar hospital that is eligible for and accepts the outmigration adjustment to automatically waive its urban status for the 3-year period for which the outmigration adjustment is effective.

Complexity

Section 1886(d)(3)(E) of the Social Security Act requires that, as part of the methodology for determining prospective payments to hospitals, the Secretary must adjust the standardized amounts “for area differences in hospital wage levels by a factor (established by the Secretary) reflecting the relative hospital wage level in the geographic area of the hospital compared to the national average hospital wage level.” This adjustment factor is the wage index. We currently define hospital geographic areas (labor market areas) based on the definitions of Core-Based Statistical Areas (CBSAs) established by the Office of Management and Budget and announced in December 2003. The wage index also reflects the geographic reclassification of hospitals to another labor market area in accordance with sections 1886(d)(8)(B) and 1886(d)(10) of the Act.

Note:

1.The CCNs with a “B” in the 4th position indicate a campus of an MCH located in a different CBSA from the main provider. The campus’s wages and hours are allocated to the CBSA of its physical location. The wage index reflects the CBSA of its location, or the MGCRB reclassified wage index, if applicable. The case-mix index and average hourly wages are not separated by campus; they reflect the provider as a whole.

2.A blank indicates FY 2015 MedPAR (which is used for the FY 2018 rates) was not available for the provider, and therefore, this provider was not included in the rate setting process.

3.This is the hospital’s final FY 2018 wage index with all applicable adjustments.

4.A blank indicates wage data not available for the CCN for the fiscal year or all three fiscal years.

5.Hospitals cannot receive the out-migration adjustment if they are reclassified under section 1886(d)(10) of the Act or redesignated under section 1886(d)(8)(B) of the Act or redesignated under section 1886(d)(8)(E) of the Act.

Date Created

2015

Last Modified

2017-09-29

Version

2017-09-29

Update Frequency

Annual

Temporal Coverage

NA

Spatial Coverage

United States

Source

John Snow Labs => Centers for Medicare and Medicaid Services

Source License URL

John Snow Labs Standard License

Source License Requirements

NA

Source Citation

NA

Keywords

Wage Index Tables, Wage Index, Case Mix Index, Lugar Hospitals, Social Security Act, Geographic Reclassification of Hospitals

Other Titles

Wage Index Tables Final Rule and Correction Notice, CMS Mix and Case Index

NameDescriptionTypeConstraints
CMS_Certification_NumberCMS Certification Numberstring-
Indexes_For_Discharges_Occurring_In_Federal_Fiscal_Year_2016Case-Mix Indexes for Discharges Occurring in Federal Fiscal Year 2016numberlevel : Nominal
Wage_Index_2018Wage Index CCN Correction Notice for FY 2016numberlevel : Nominal
Average_Hourly_Wage_FY_2016Average Hourly Wage Index Final Notice for FY 2016numberlevel : Nominal
Average_Hourly_Wage_FY_2017Average Hourly Wage Index CCN for FY 2017numberlevel : Nominal
Average_Hourly_Wage_FY_2018Average Hourly Wage Index for FY 2018numberlevel : Nominal
Average_Hourly_Wage_2016_2017_20183-Year Average Hourly Wage (2016, 2017, 2018)numberlevel : Nominal
Geographic_CBSAGeographic Core-Based Statistical Areasnumberlevel : Nominal
Reclassified_Redesignated_CBSAReclassified or Redesignated Geographic Core-Based Statistical Areasintegerlevel : Nominal
Lugar_NECMALugar New England County Metropolitan Area (NECMA)string-
Is_MGCRB_ReclassMedicare Geographic Classification Review Board (MGCRB) Reclassboolean-
Is_Hospital_Reclassified_As_RuralHospital Reclassified as Rural Under Section 1886(d)(8)(E) of the Act (412.103)boolean-
Out_Migration_AdjustmentOut-Migration Adjustment related to Wage Indexnumberlevel : Nominal
County_NameCounty Namestring-
County_CodeCounty Codenumberlevel : Nominal
CMS_Certification_NumberIndexes_For_Discharges_Occurring_In_Federal_Fiscal_Year_2016Wage_Index_2018Average_Hourly_Wage_FY_2016Average_Hourly_Wage_FY_2017Average_Hourly_Wage_FY_2018Average_Hourly_Wage_2016_2017_2018Geographic_CBSAReclassified_Redesignated_CBSALugar_NECMAIs_MGCRB_ReclassIs_Hospital_Reclassified_As_RuralOut_Migration_AdjustmentCounty_NameCounty_Code
0300770.88751.44483GILA3030
2700890.7473127GALLATIN27150
0300710.97691.44483APACHE3000
0300841.01851.44483APACHE3000
0301131.04641.44483NAVAJO3080
4300840.94621.444843TODD43600
3200582.03451.444832OTERO32170
3401561.02171.444834SWAIN34860
4300830.82981.444843DEWEY43200
0300740.84841.444846060PIMA3090